MMBR 2025 Membership Application Form

moonbi magic 2025 Membership Application

To apply for membership please complete all questions.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Bank Details*

BSBACCOUNT NUMBER
Bank Account name*

First NameLast Name
Membership Type*
prevnext( X )
Adult membership
$40.00AUD



Junior U18 membershipJuniors who wish to compete and accrue points towards Open end of year prizes must pay Adult membership
$30.00AUD



Family MembershipPlease complete this form once FOR EACH member
$70.00AUD



Non Competitive membership
$5.00AUD
Consent to publish images captured at MMBR events to MMBR website/facebook

Yes, I understand under ABHA membership rules that i consent to images of the above member can be published on MMBR website and facebook pages
Payment of MMBR Membership

Yes, I HAVE paid my MMBR membership via www.moonbimagic.comNo, I HAVE NOT paid my MMBR membership and understand that my points will not accrue until payment has been received via www.moonbimagic.com
MMBR Membership Terms and Conditions

I agree to abide by the constitution and the rules and regulations of the Australian Barrel Horse Association and Moonbi Magic Barrel Racing Inc. and accept full responsibility for my actions. I acknowledge that I am only a riding member if I am a financial member of the Australian Barrel Horse Association.
Date of Signature*

DayMonthYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty:

moonbi magic 2025 Membership Application

MMBR Membership Terms and Conditions